Mary Hutchison, LCSW
Individual provider Active NPI Clinical Social Worker · Piedmont, MO
NPI 1932148558 · NPPES record last updated Sep 2, 2008
Key facts
- NPI
- 1932148558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 000907 (MO)
- Practice address
- RR 4 Box 4515
Piedmont, MO 63957-9417 - Phone
- (573) 223-4233
- Fax
- (573) 223-2136
- NPI assigned
- Jun 6, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000907 | MO | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 000907 | MO | Yes |
Addresses
Primary practice location
RR 4 Box 4515
Piedmont, MO 63957-9417
Mailing address
RR 4 Box 4515
Piedmont, MO 63957-9417
Phone (573) 223-4233
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2078586 | Other | FIRST HEALTH/COVENTRY | |
| 494975212 | Medicaid | MO | |
| 2255 | Other | EAP IMPACT | |
| 179816 | Other | BLUE CROSS BLUE SHIELD | |
| 431116734 | Other | EAP CONCERN | |
| 431116734 | Other | NEW DIRECTIONS | |
| 431116734 | Other | UNITED BEHAVIORAL HEALTH | |
| 11333395 | Other | CAQH | |
| 431116734 | Other | EAP PEOPLE RESOURCES | |
| 431116734 | Other | EAP INTERFACE | |
| 713315 | Other | HEALTHLINK PPO |
Other providers in Piedmont, MO
- Stacie Hoagland
- Matthew Scott Hodges
- Kelsey Holder
- Timothy Wayne Holmes
- Emily Elaine Hughes
- Ashley Dawn Janecek
- Teresa Gayle Johnson
- Pamela Sue Johnston
- Kara L Kearby
- Alexis McCall Keeney
All providers in Piedmont, MO · Clinical Social Worker in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.